Sonographic and Endocrinologic Evaluation of the Patients with Polycystic Ovaries by Body Mass Index / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 2204-2210, 1997.
Article
in Korean
| WPRIM
| ID: wpr-66833
ABSTRACT
Women with Polycystic ovaries(PCO) are often overweight and obesity has been regarded as a possible basis for the development of PCO. This study was designed to evaluate the differences of the basic hormonal concentrations and sonographic features in obese and non-obese patients with PCO. We prospectively analysed eighty-six patiens with PCO on transvaginal sonography and twelve control women with regular menstrual cycle and ovarian morphology from Feb. 1994 to May 1996. Eighty-six women with PCO, of whom sixty-seven women were non -obese with body mass index(BMI) of 25(=group 2). Sonographic morphology of ovary was evaluated in PCO. Basal concent- rations of LH, FSH, estrone, estradiol, testosterone(T), prolactin, TSH and sex hormone- binding globulin(SHBG) in serum were measured. Although sonographic morphology of ovary was not significantly different between group 1 and group 2, number of small follicles was tend to increase in group 2. The LH/ FSH ratio was significantly higher in group 1 compared to group 2, but SHBG was higher in group 2. Conclusively, in obese women, obesity causes an increase in free androgen through the decrease in SHBG, which might cause a disturbance in gonadotropin secretion leading to the typical changes of polycystic ovary. In non-obese women, relative increase of LH/FSH ratio stimulates excessive production of androgen.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ovary
/
Prolactin
/
Body Mass Index
/
Prospective Studies
/
Ultrasonography
/
Estradiol
/
Overweight
/
Estrone
/
Gonadotropins
/
Menstrual Cycle
Type of study:
Diagnostic study
/
Observational study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
1997
Type:
Article
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